Organization · Type 2 NPI

Trevor Hansen

Emotionally Disturbed Childrens' Residential Treatment Facility · Moroni, UT

NPI number 1699199935 Active

Practice location

21260 N. 1450 E.
Moroni, UT 84646-0383

Call (435) 851-6821 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1699199935

Trevor Hansen's National Provider Identifier is 1699199935, issued on Feb 6, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Moroni, UT. The record was last updated on Feb 6, 2014.